0001104659-17-072108.txt : 20171206 0001104659-17-072108.hdr.sgml : 20171206 20171206170025 ACCESSION NUMBER: 0001104659-17-072108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171204 FILED AS OF DATE: 20171206 DATE AS OF CHANGE: 20171206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Salzberg Matthew B CENTRAL INDEX KEY: 0001710351 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38134 FILM NUMBER: 171242857 MAIL ADDRESS: STREET 1: 5 CROSBY STREET CITY: NEW YORK STATE: NY ZIP: 10013 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Apron Holdings, Inc. CENTRAL INDEX KEY: 0001701114 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 814777373 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5 CROSBY STREET CITY: NEW YORK STATE: NY ZIP: 10013 BUSINESS PHONE: 347-719-4312 MAIL ADDRESS: STREET 1: 5 CROSBY STREET CITY: NEW YORK STATE: NY ZIP: 10013 4 1 a4.xml 4 X0306 4 2017-12-04 0 0001701114 Blue Apron Holdings, Inc. APRN 0001710351 Salzberg Matthew B C/O BLUE APRON HOLDINGS, INC. 40 WEST 23RD STREET NEW YORK NY 10010 1 0 1 0 Restricted Stock Units 2017-12-04 4 A 0 33245 0 A Class A Common Stock 33245 33245 D Each restricted stock unit represents a contingent right to receive one share of Class A Common Stock. The restricted stock units are scheduled to vest in full on the first anniversary of December 4, 2017. /s/ Benjamin C. Singer, as attorney-in-fact for Matthew B. Salzberg 2017-12-06